Forms and Publications

Search by:   for     

Browse By Subject  |  Most Requested  |  Required L&I Workplace Posters  |  Spanish Language Documents  |  Show all L&I Forms/Pubs


View:    Sort by:       

Results for: Claims and Insurance - Independent Medical Examiner
Title:

Type:

Approved Independent Medical Examiner (IME) Update


Form
F245-051-000
 
Checklist for IME Facilities


Form
F245-421-000
 
Comentarios Sobre el Exámen Médico Independente


Form
F245-053-999

World Language(s):
Inglés
 
IME Provider Renewal Application


Form
F245-435-000
 
Independent Medical Exam Doctor's Estimate of Physical Capacities


Form
F242-387-000
 
Independent Medical Exam Template


Form
F245-058-000
 
Independent Medical Examination (IME) Provider Exam Sites


Form
F245-047-000
 
Independent Medical Examination Fax Cover Sheet


Form
F245-383-000
 
Medical Examiners' Handbook


Publication
F252-001-000
 
Notice of Independent Medical Exam No-Show or Late Cancellation


Form
F245-382-000
 
Provider Account Application - Independent Medical Examiner (IME)


Form
F245-046-000
 
Su examen médico independiente: para empleadores de negocios autoasegurados


Publication
F207-202-999

World Language(s):
Inglés
 
Su examen médico independiente


Form
F245-224-999

World Language(s):
Inglés
 
Su examen médico independiente


Publication
F245-224-999

World Language(s):
Inglés
 
Your Independent Medical Exam


Form
F245-224-000

World Language(s):
Español
 
Your Independent Medical Exam


Publication
F245-224-000

World Language(s):
Español
 
Independent Medical Exam Comments


Form
F245-053-000

World Language(s):
Español
 
Your Independent Medical Exam (IME): Crime Victims Compensation Program


Publication
F800-115-000
 
Your Independent Medical Exam: For Employees of Self-Insured Businesses


Publication
F207-202-000

World Language(s):
Español
 





End of main content, page footer follows.

Access Washington official state portal

  © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.

Help us improve